EDI
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RAS Reason Adjustment

To supply Claim Adjustment Reason Codes and amounts as needed for an entire claim or for a particular service within the claim being paid

Sequence
Element
Name
Type
Requirement
Min
Max
Repeat
01
782
Monetary Amount
Decimal number (R)
Mandatory
1
18
1
Monetary amount
RAS01 is the amount of adjustment.
02
Claim Adjustment Group Code
String (AN)
Mandatory
1
10
1
Code identifying the general category of payment adjustment.
03
Adjustment Reason
Composite (composite)
Mandatory
15
01
Claim Adjustment Reason Code
Identifier (ID)
Mandatory
1
5
-
Code identifying the detailed reason the adjustment was made
02
Code List Qualifier Code
Identifier (ID)
Conditional
1
3
-
Code identifying a specific industry code list
P0203: If either C058-02 or C058-03 is present, then the other is required
C05802 qualifies C05803, C05804, C05805, C05806 and C05807.
Codes (1056)
03
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
04
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C0403: If C058-04 is present, then C058-03 is required
05
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C0504: If C058-05 is present, then C058-04 is required
06
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
C0605: If C058-06 is present, then C058-05 is required
07
Industry Code
String (AN)
Optional
1
30
-
Code indicating a code from a specific industry code list
C0706: If C058-07 is present, then C058-06 is required
04
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
RAS04 is the units of service being adjusted.

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Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Mapping Guides are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.